Method for rendering a contact lens wettable

ABSTRACT

An ophthalmic solution comprising a polyethoxylated glyceride in the range of 0.001 to about 10 percent by weight and a buffer agent. These solutions impart surprising comfort and wearability to contact lenses. At the same time the solutions provide good preservative capacity and do not increase protein deposit.

BACKGROUND

The present invention relates to novel ophthalmic solutions that contain a ethoxylated glyceride as an additive to improve the wettability and to decrease the degree of protein and polymeric preservative binding to contact lens surfaces. These compositions may also comprise other agents in contact lens and ophthalmic solutions such as buffers, tonicity agents, wetting agents, enzymes, hydrogen peroxide, demulcents, thickeners, sequestering agents (chelating agents), surface active agents and preservative agents. The ethoxylated glycerides are particularly useful in contact lens treatment solutions, contact lens wetting solutions, solutions used to store contact lenses and solutions used to clean or rinse contact lenses. It has been found that surprisingly the addition of ethoxylated glycerides improve the comfort of lenses treated with such solution and that this increased comfort is surprisingly long-lasting in its effect. The ethoxylated glycerides may be mono-, di- or triglycerides.

The solutions of the present invention are made by one of two methods. First the ethoxylated glyceride may be melted and added to an aqueous solution which includes the other agents to be used in the desired formulation, or the additional agents may be added prior to the addition of the melted ethoxylated glyceride. Second, the ethoxylated glyceride may be dissolved in an alcohol base and this liquid mixture, added to the aqueous base. Ethoxylated glycerides are commercially available from numerous commercial sources and include Polyoxyl 40 hydrogenated castor oil (Cremophor® RH 40), polyoxyl 60 hydrogenated castor oil (Cremophor® RH 60), polyethyleneglycol (“PEG”) 30 Castor Oil (Incrocas® 30), PEG-35 Castor Oil (Cremophor® EL Incrocas® 35), or PEG-40 Castor Oil (Cremophor® EL Incrocas® 40), Cremophor® EL®, Emulphor® EL®, glycerol polyethyleneglycol riciinoleate, gycerol polyethyleneglycol oxystearate, polyethoxylated hydrogenated castor oil, or polyethoxylated vegetable oil. The ethoxylated glycerides useful in the present invention may include surfactants sold as PEG-6 Caprylic/Capric Glycerides PEG-8 Caprylic/Capric Glycerides; PEG-2 Castor Oil; PEG-3 Castor Oil; PEG-4 Castor Oil; PEG-5 Castor Oil; PEG-8 Castor Oil; PEG-9 Castor Oil; PEG-10 Castor Oil; PEG-11 Castor Oil; PEG-15 Castor Oil; PEG-20 Castor Oil; PEG-25 Castor Oil; PEG-30 Castor Oil; PEG-33 Castor Oil; PEG-35 Castor Oil; PEG-36 Castor Oil; PEG-40 Castor Oil; PEG-50 Castor Oil; PEG-54 Castor Oil; PEG-55 Castor Oil; PEG-60 Castor Oil; PEG-100 Castor Oil; PEG-200 Castor Oil; PEG-18 Castor Oil Dioleate; PEG-60 Corn Glycerides; PEG-20 Evening Primrose Glycerides; PEG-60 Evening Primrose Glycerides; PEG-7 Glyceryl Cocoate; PEG-30 Glyceryl Cocoate; PEG-78 Glyceryl Cocoate; PEG-80 Glyceryl Cocoate; PEG-12 Glyceryl Dioleate; PEG-15 Glyceryl Isostearate; PEG-20 Glyceryl Isostearate; PEG-30 Glyceryl Isostearate; PEG-60 Glyceryl Isostearate; PEG-12 Glyceryl Laurate; PEG-20 Glyceryl Laurate; PEG-23 Glyceryl Laurate; PEG-30 Glyceryl Laurate; PEG-10 Glyceryl Oleate; PEG-15 Glyceryl Oleate; PEG-30 Glyceryl Oleate; PEG-20 Glyceryl Ricinoleate; PEG-5 Glyceryl Sesquioleate; PEG-5 Glyceryl Stearate; PEG-10 Glyceryl Stearate; PEG-25 Glyceryl Stearate; PEG-30 Glyceryl Stearate; PEG-120 Glyceryl Stearate; PEG-200 Glyceryl Stearate; PEG-28 Glyceryl Tallowate; PEG-80 Glyceryl Tallowate; PEG-200 Glyceryl Tallowate; PEG-5 Glyceryl Triisostearate; PEG-5 Hydrogenated Castor Oil; PEG-7 Hydrogenated Castor Oil; PEG-16 Hydrogenated Castor Oil; PEG-20 Hydrogenated Castor Oil; PEG-25 Hydrogenate Castor Oil; PEG-30 Hydrogenate Castor Oil; PEG-35 Hydrogenate Castor Oil; PEG-40 Hydrogenate Castor Oil; PEG-45 Hydrogenate Castor Oil; PEG-50 Hydrogenate Castor Oil; PEG-54 Hydrogenate Castor Oil; PEG-55 Hydrogenate Castor Oil; PEG-60 Hydrogenate Castor Oil; PEG-80 Hydrogenate Castor Oil; PEG-100 Hydrogenate Castor Oil; PEG-200 Hydrogenate Castor Oil; PEG-40 Hydrogenated Castor Oil PCA Isosterate; PEG-5 Hydrogenated Corn Glycerides; and PEG-8 Hydrogenated Fish Glycerides; which are all available from known commercial sources.

The solutions of the present invention may contain other additives including but not limited to buffers, tonicity agents, demulcents, wetting agents, preservatives, sequestering agents (chelating agents), surface active agents, and enzymes.

Other aspects of the claimed solutions include adding to the solution from 0.001 to 1 weight percent chelating agent (preferably disodium EDTA) and/or additional microbicide, (preferably 0.00001 to 0.1 or 0.00001 to 0.01) weight percent polyhexamethylene biquanide N-alkyl-2-pyrrolidone, chlorhexidine, polyquatemium-1, hexetidine, bronopol, alexidine, low concentrations of hydrogen peroxide, and opthalmologically acceptable salts thereof.

Ophthalmologically acceptable chelating agents useful in the present invention include amino carboxylic acid compounds or water-soluble salts thereof, including ethylenediaminetetraacetic acid, nitrilotriacetic acid, diethylenetriamine pentaacetic acid, hydroxyethylethylenediaminetriacetic acid, 1,2-diaminocyclohexanetetraacetic acid, ethylene glycol bis (beta-aminoethyl ether) in N,N,N′,N′ tetraacetic acid (EGTA), aminodiacetic acid and hydroxyethylamino diacetic acid. These acids can be used in the form of their water soluble salts, particularly their alkali metal salts. Especially preferred chelating agents are the di-, tri- and tetra-sodium salts of ethylenediaminetetraacetic acid (EDTA), most preferably disodium EDTA (Disodium Edetate).

Other chelating agents such as citrates and polyphosphates can also be used in the present invention. The citrates which can be used in the present invention include citric acid and its mono-, di-, and tri-alkaline metal salts. The polyphosphates which can be used include pyrophosphates, triphosphates, tetraphosphates, trimetaphosphates, tetrametaphosphates, as well as more highly condensed phosphates in the form of the neutral or acidic alkali metal salts such as the sodium and potassium salts as well as the ammonium salt.

The pH of the solutions should be adjusted to be compatible with the eye and the contact lens, such as between 6.0 to 8.0, preferably between 6.8 to 7.8 or between 7.0 to 7.6. Significant deviations from neutral (pH 7.3) will cause changes in the physical parameters (i.e. diameter) in some contact lenses. Low pH (pH less than 5.5) can cause burning and stinging of the eyes, while very low or very high pH (less than 3.0 or greater than 10) can cause ocular damage.

The additional preservatives employed in the present invention are known, such as polyhexamethylene biguanide, N-alkyl-2-pyrrolidone, chlorhexidine, polyhexamethylenebiguanide, alexidine, polyquatemium-1, hexetidine, bronopol and a very low concentration of hydrogen peroxide, e.g., 30 to 200 ppm.

The solutions of the invention are compatible with both rigid gas permeable and hydrophilic contact lenses during storage, cleaning, wetting, soaking, rinsing and disinfection.

A typical aqueous solution of the present invention may contain additional ingredients which would not affect the basic and novel characteristics of the active ingredients described earlier, such as tonicity agents, surfactants and viscosity inducing agents, which may aid in either the lens cleaning or in providing lubrication to the eye. Suitable tonicity agents include sodium chloride, potassium chloride, glycerol or mixtures thereof The tonicity of the solution is typically adjusted to approximately 240-310 milliosmoles per kilogram solution (mOsm/kg) to render the solution compatible with ocular tissue and with hydrophilic contact lenses. In one embodiment, the solution contains 0.01 to 0.5 weight percent sodium chloride.

Suitable viscosity inducing agents can include lecithin or the cellulose derivatives such as hydroxymethylcellulose, hydroxypropylcellulose and methylcellulose in amounts similar to those for surfactants, above.

EXAMPLE 1

Hydrophilic contact lenses were placed flat onto glass slides and rinsed with water to remove any debris. These slides were placed in a petri dish and covered with a few drops of each of the test solutions previously prepared in either water, an aqueous isotonic sodium chloride solution, or an aqueous phosphate buffered solution made isotonic with sodium chloride and adjusted to pH 7.3. Each petri plate was covered and placed in a refrigerator overnight. The following day, the slides were removed and allowed to equilibrate to room temperature. The lenses were rinsed with water and the excess water was removed. One 5 uL drop of mineral oil stained with Oil Red O was placed onto one lens for each solution. After ten minutes, the lenses were observed for the ability of the oil drop to spread.

Solution Oil Water Additive Matrix Dispersibility Dispersibility 1% polyoxyl 40 water 4 5 hydrogenated castor oil (Cremophor RH 40) 1% polyoxyl 40 buffer 5 5 hydrogenated castor oil water (Cremophor RH 40) 1% polyoxyl 40 sodium 2 5 hydrogenated castor oil choride (Cremophor RH 40) water 1% polyoxyl 40 buffer 3 5 hydrogenated castor oil sodium (Cremophor RH 40) chloride water 1% Polysorbate 80 sodium 4 5 (Tween 80) choride water 1% Poloxamine 1107 sodium 2 5 (Tetronic 1107) choride water 1% Poloxamer 407 sodium 2 5 (Pluronic F127) choride water 1% Polysorbate 80 buffer 3 5 (Tween 80) sodium chloride water 1% Poloxamine 1107 buffer 1 5 (Tetronic 1107) sodium chloride water 1% Poloxamer 407 buffer 1 5 (Pluronic F127) sodium chloride water Water water 1 5 Key 1 non-spreading drop 2 poor spreading drop 3 moderate spreading drop 4 increased spreading drop 5 thin spreading film

The results demonstrates that exposure of the contact lens to the ethoxylated glyceride will generate a durable modified surface capable of allow the formation of a thin oil and aqueous film. This characteristic mimics mucin and is essential for the proper tear layer formation of over the lens. A score of 3 or better is considered acceptable. This experiment also illustrates the synergistic improvement when the ethoxylated glyceride is exposed in the presence of a buffer. The inability of the Poloxamer and Poloxamine to allow the oil film to spread across the lens demonstrates that not all surface active agents will promote the spreading of a properly formed tear film over the contact lens surface.

EXAMPLE 2 Example of Protein Deposition Inhibition

Contact lenses were soaked and heated in test solutions to which a radio-labeled lysozyme was present in a known amount for a period of 12 hours at 37 degrees Celsius. The lenses were rinsed with distilled water in order to remove residual solution. The lenses were then assayed for protein deposition using a Beckman BioGamma 1 counter. Results were reported in ug/lens.

Lens A Lens B Average ug/lens ug/lens ug/lens Phosphate buffer control 1,043 865 954 Cremophor RH40 (1%) 15 23 19 In Phosphate Buffer

Ethoxylated Castor Oil was a 1 percent w/v solution. The matrix control was phosphate buffer and sodium chloride. The polyoxyl 40 hydrogenated castor oil solution had lower protein binding than the control.

EXAMPLE 3 Example of Protein Deposition Inhibition

Isotonic aqueous phosphate buffered solutions were prepared and adjusted to pH 7.4. Contact lenses were soaked in 25 mL of the test solutions overnight. Afterwards, lysozyme was added to the tubes and warmed to 37 degrees Celsius for 12 hours. The lenses were rinsed with distilled water in order to remove residual solution. The lenses were assayed for protein deposition by the BCA method and detected on an HP PDA Spectrophotometer. Results were reported in ug/lens.

Solution ug lysozyme per lens Marketed Product Control >18.3 (phosphate buffer, Poloxamer) Phosphate buffer control >26.16 Cremophor RH40 (1%) 9.78 In Phosphate Buffer

Ethoxylated Castor Oil was a 1 percent w/v solution. The matrix control was phosphate buffer and sodium chloride. The polyoxyl 40 hydrogenated castor oil solution had lower protein binding than the control.

EXAMPLE 4

An example of a preferred disinfecting formulation of the subject invention is provided below in Table I. This solution is prepared by weighing out the necessary amount of the tricine, creatine, choline chloride, sodium chloride and edetate disodium into a vessel containing approximately 90% of the water volume. After each of the ingredients has dissolved, the pH is adjusted to 7.3 with either 1 N sodium hydroxide or 1 N hydrochloric acid. Following this, the polyhexamethylene biguanide is added and the solution is brought to final volume with purified water. The final product has the composition shown in the Table below.

Constituent Weight/Volume Polyhexamethyl- 20% w/w solution 0.0001% enebiguanide HCl available under the mark Cosmocil CQ, from Avecia Tricine Spectrum   1.0% Creatine Spectrum  0.25% Choline Chloride Amersco   0.5% Edetate Disodium Spectrum  0.055% Polyoxyl 40 Cremophor RH 40 from   0.1% Hydrogenated Castor BASF Co. Oil Sodium Chloride Fisher Scientific As required for tonicity adjustment 300 mOsm Hydrochloride Acid, 1 N VWR as required for pH adjustment to 7.3 Sodium Hydroxide, 1 N Mallinckrodt as required for pH adjustment to 7.3 Purified Water Balance to 100%

This solution may be used to rinse, clean, and store contact lenses on a daily basis.

EXAMPLE 5

An example of a preferred formulation for a contact lens vial storage of the subject invention is provided below in Table I. This solution is prepared by weighing out the necessary amount of the sodium borate, boric acid, and sodium chloride into a vessel containing approximately 90% of the water volume. After each of the ingredients has dissolved, the pH is adjusted to 7.3 with either 1 N sodium hydroxide or 1 N hydrochloric acid. The final product had the composition shown in Table I below.

Constituent Weight/Volume Sodium Borate Spectrum  1.0% Boric Acid Spectrum 0.25% Polyoxyl 40 Hydrogenated Cremophor RH40  0.1% Castor Oil from BASF Co. Sodium Chloride Fisher Scientific As required for tonicity adjustment 300 mOsm Hydrochloride Acid, 1 N VWR as required for pH adjustment to 7.3 Sodium Hydroxide, 1 N Mallinckrodt as required for pH adjustment to 7.3 Purified Water Balance to 100%

EXAMPLE 6

The following are useful disinfecting solutions within the scope of the present invention that may be used for all purpose disinfecting solutions. They are made according to generally acceptable procedures except that the ethoxylated glycerides must be first be dissolved in warm water prior to the addition of the other components.

% Weight/ Constituent Supplier Volume Amount Purified water to 80% 40 mL Tricine Spectrum  1.0%  0.500 g Carnitine Spectrum  0.25%  0.125 g Betaine HCl Spectrum  0.1%  0.050 g Choline Chloride Amresco  0.5%  0.250 g Inositol Spectrum  0.1%  0.050 g Edetate Disodium Spectrum 0.055% 0.0275 g Polyoxyl 40 Hydrogenated Cremophor RH 40  0.1% 0.5 mL of 10% Castor Oil from BASF Co. Hydrochloride Acid, 1 N as required for pH as required for pH adjustment to 7.3 adjustment to 7.3 Sodium Hydroxide, 1 N as required for pH as required for pH adjustment to 7.3 adjustment to 7.3 Purified Water to 98% Dilute to 49 mL Sodium Chloride Fisher As required for As required for tonicity adjustment tonicity adjustment 300 mOsm 300 mOsm Polyhexamethylene- 20% w/w solution 0.0001% 50 uL of 0.1% biguanide HCl available under the mark Cosmocil CQ from Avecia Purified Water Balance to 100% Dilute to 50 mL

EXAMPLE 7

The following are formulations within the scope of the invention of formulations intended to be used as lens-vial solutions that are used to store lenses prior to their use. These solutions have the effect of treating the contact lens in the solution and rendering the lens more comfortable in use.

% Weight/ Constituent Supplier Volume Amount Purified water to 80% 40 mL Tricine Spectrum  1.0% 0.500 g Carnitine Spectrum 0.25% 0.125 g Inositol Spectrum  0.1% 0.050 g Hydrochloride Acid, 1 N as required for pH as required for pH adjustment to 7.3 adjustment to 7.3 Sodium Hydroxide, 1 N as required for pH as required for pH adjustment to 7.3 adjustment to 7.3 Polyoxyl 40 Hydrogenated Cremophor RH 40  0.1% 0.5 mL of 10% Castor Oil from BASF Co. Purified Water to 98% Dilute to 49 mL Sodium Chloride Fisher As required for 300 mOsm tonicity adjustment Purified Water to 100% dilute to 50 mL 

1. A method for rendering a contact lens wettable by contacting the surface of said lens with an aqueous solution comprising from 0.001 to about 10 percent by weight of an ethoxylated glyceride, 0.001 to 2.0 percent by weight of a physiologically acceptable buffer selected from the group consisting of creatine, its salts, dimethyl aspartic acid and its salts, 0.00001 to 0.1 weight percent of a polymeric preservative, and the balance water.
 2. The method of claim 1 wherein said ethoxylated glyceride is polyoxyl 40 hydrogenated castor oil.
 3. The method of claim 1 wherein said ethoxylated glyceride is polyoxyl 60 hydrogenated castor oil.
 4. The method of claim 1 wherein said ethoxylated glyceride is chosen from the group consisting of PEG-6 Caprylic/Capric Glycerides PEG-8 Caprylic/Capric Glycerides; PEG-2 Castor Oil; PEG-3 Castor Oil; PEG-4 Castor Oil; PEG-5 Castor Oil; PEG-8 Castor Oil; PEG-9 Castor Oil; PEG-10 Castor Oil; PEG-11 Castor Oil; PEG-15 Castor Oil; PEG-20 Castor Oil; PEG-25 Castor Oil; PEG-30 Castor Oil; PEG-33 Castor Oil; PEG-35 Castor Oil; PEG-36 Castor Oil; PEG-40 Castor Oil; PEG-50 Castor Oil; PEG-54 Castor Oil; PEG-55 Castor Oil; PEG-60 Castor Oil; PEG-100 Castor Oil; PEG-200 Castor Oil; PEG-18 Castor Oil Dioleate; PEG-60 Corn Glycerides; PEG-20 Evening Primrose Glycerides; PEG-60 Evening Primrose Glycerides; PEG-7 Glyceryl Cocoate; PEG-30 Glyceryl Cocoate; PEG-78 Glyceryl Cocoate; PEG-80 Glyceryl Cocoate; PEG-12 Glyceryl Dioleate; PEG-15 Glyceryl Isostearate; PEG-20 Glyceryl Isostearate; PEG-30 Glyceryl Isostearate; PEG-60 Glyceryl Isostearate; PEG-12 Glyceryl Laurate; PEG-20 Glyceryl Laurate; PEG-23 Glyceryl Laurate; PEG-30 Glyceryl Laurate; PEG-10 Glyceryl Oleate; PEG-15 Glyceryl Oleate; PEG-30 Glyceryl Oleate; PEG-20 Glyceryl Ricinoleate; PEG-5 Glyceryl Sesquioleate; PEG-5 Glyceryl Stearate; PEG-10 Glyceryl Stearate; PEG-25 Glyceryl Stearate; PEG-30 Glyceryl Stearate; PEG-120 Glyceryl Stearate; PEG-200 Glyceryl Stearate; PEG-28 Glyceryl Tallowate; PEG-80 Glyceryl Tallowate; PEG-200 Glyceryl Tallowate; PEG-5 Glyceryl Triisostearate; PEG-5 Hydrogenated Castor Oil; PEG-7 Hydrogenated Castor Oil; PEG-16 Hydrogenated Castor Oil; PEG-20 Hydrogenated Castor Oil; PEG-25 Hydrogenate Castor Oil; PEG-30 Hydrogenate Castor Oil; PEG-35 Hydrogenate Castor Oil; PEG-40 Hydrogenate Castor Oil; PEG-45 Hydrogenate Castor Oil; PEG-50 Hydrogenate Castor Oil; PEG-54 Hydrogenate Castor Oil; PEG-55 Hydrogenate Castor Oil; PEG-60 Hydrogenate Castor Oil; PEG-80 Hydrogenate Castor Oil; PEG-100 Hydrogenate Castor Oil; PEG-200 Hydrogenate Castor Oil; PEG-40 Hydrogenated Castor Oil PCA Isosterate; PEG-5 Hydrogenated Corn Glycerides; and PEG-8 Hydrogenated Fish Glycerides.
 5. The method of claim 1 wherein said ethoxylated glyceride is polyoxyl 35 castor oil.
 6. The method of claim 1 further comprising a buffer selected from the group consisting of bis(2-hydroxyethyl)iminotris(hydroxymethyl)methane and its salts.
 7. The method of claim 1 further comprising a buffer selected from the group consisting of 1,3-bis[tris(hydroxymethyl)-methylamino]propane and its salts.
 8. The method of claim 1 further comprising a buffer selected from the group consisting of N-tris(hydroxymethyl)methyl glycine and its salts.
 9. The method of claim 1 further comprising a buffer selected from the group consisting of N,N-bis(2-hydroxyethyl)-glycine and its salts.
 10. The method of claim 1 further comprising a buffer selected from the group consisting of betaine and its salts.
 11. The method of claim 1 further comprising a buffer phosphate salt.
 12. The method of claim 1 further comprising a buffer borate salt.
 13. The method of claim 1 further comprising a buffer citrate salt.
 14. The method of claim 1 further comprising a buffer selected from the group consisting of 2-amino-2-methyl-1,3-propanediol and its salts.
 15. The method of claim 1 further comprising a buffer selected from the group consisting of triisopropanolamine and its salts.
 16. The method of claim 1 further comprising a buffer selected from the group consisting of camitine and its salts.
 17. The method of claim 1 further comprising a buffer selected from the group consisting of dimethyl glutamate and its salts.
 18. The method of claim 1 further comprising a buffer selected from the group consisting of diethanolamine and its salts.
 19. The method of claim 1 further comprising a buffer selected from the group consisting of diisopropylamine and its salts.
 20. The method of claim 1 further comprising a buffer selected from the group consisting of triethanolamine and its salts.
 21. The method of claim 1 further comprising a buffer selected from the group consisting of triethylamine and its salts.
 22. The method of claim 1 further comprising a buffer selected from the group consisting of imidazole and its salts.
 23. The method of claim 1 further comprising a buffer selected from the group consisting of histidine and its salts.
 24. The method of claim 1 further comprising a buffer selected from the group consisting of methyl aspartate and its salts.
 25. The method of claim 1 further comprising a buffer selected from the group consisting of Tris(hydroxymethyl)aminomethane and its salts.
 26. The method of claim 1 further comprising a buffer selected from the group consisting of glycine and its salts.
 27. The method of claim 1 further comprising a buffer selected from the group consisting of lysine and its salts.
 28. The method of claim 1 further comprising a buffer selected from the group consisting of histidine and its salts.
 29. The method of claim 1 wherein said polymeric preservative is polyhexamethylene biguanide.
 30. The method of claim 1 wherein said aqueous solution is a contact lens wetting solution.
 31. The method of claim 1 wherein said aqueous solution is a contact lens rinsing solution. 